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RU2012129350A - COMBINED THERAPY USING ALPHA 5BETA1 ANTAGONISTS - Google Patents

COMBINED THERAPY USING ALPHA 5BETA1 ANTAGONISTS Download PDF

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RU2012129350A
RU2012129350A RU2012129350/10A RU2012129350A RU2012129350A RU 2012129350 A RU2012129350 A RU 2012129350A RU 2012129350/10 A RU2012129350/10 A RU 2012129350/10A RU 2012129350 A RU2012129350 A RU 2012129350A RU 2012129350 A RU2012129350 A RU 2012129350A
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antibody
subject
disease
atcc
antagonist
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RU2012129350/10A
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Russian (ru)
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Анан ЧУНТХАРАПАЙ
Грег ПЛАУМАН
Марк ТЕССЬЕ-ЛАВИНЬ
Янь У
Вэйлань Е
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Дженентек, Инк.
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Abstract

1. Антитело, которое способно связывать человеческий альфа5бета1 и конкурентно подавлять связывание антитела против альфа5бета1 с человеческим альфа5бета1, где антитела против альфа5бета1 продуцируются гибридомой, выбранной из группы, состоящей из гибридомы, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) и гибридомы, депонированной как Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.2. Антитело по п.1, где антитело продуцируется гибридомой, выбранной из группы, состоящей из гибридомы, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) и гибридомы, депонированной как Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.3. Антитело по п.1, где антитело содержит последовательности вариабельного тяжелого (VH) и вариабельного легкого (VL) доменов антитела, продуцируемого гибридомой, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) в ATCC 7 марта 2006 года.4. Антитело по п.1, где антитело содержит последовательности вариабельного тяжелого (VH) и вариабельного легкого (VL) доменов антитела, продуцируемого гибридомой, депонированной Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.5. Антитело по п.1, где антитело является гуманизированной или химерной формой антитела против альфа5бета1, продуцируемого гибридомой, выбранной из группы, состоящей из гибридомы, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) и гибридомы, депонированной как Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.6. Антитело по любому из пп.1-5, где антитело связывается с человеческим альфа5бета1 с Kd между 500 нМ и 1 пМ.7. Антитело по п.1, где антитело не связывает альфаVбета3 или альфаVбета5 или альфаVбета1.8. Антитело по любому из п.п. 1 и 3-5, где антитело содержит последовательность Fc человеческого IgG.9. Антитело по любому из 1. An antibody that is capable of binding human alpha5beta1 and competitively inhibiting the binding of an anti-alpha5beta1 antibody to human alpha5beta1, where anti-alpha5beta1 antibodies are produced by a hybridoma selected from the group consisting of a hybridoma deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA- PTA- 7421) and hybridomas deposited as Alpha5 / beta1 7H12.5.1.4 (ATCC No. PTA-7420) at ATCC on March 7, 2006.2. The antibody of claim 1, wherein the antibody is produced by a hybridoma selected from the group consisting of a hybridoma deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA-7421) and a hybridoma deposited as Alpha5 / beta1 7H12.5.1.4 ( ATCC No. PTA-7420) at ATCC March 7, 2006. 3. The antibody of claim 1, wherein the antibody comprises the variable heavy (VH) and variable light (VL) domains of an antibody produced by a hybridoma deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA-7421) at ATCC on March 7, 2006 .4. The antibody according to claim 1, where the antibody contains the sequences of the variable heavy (VH) and variable light (VL) domains of the antibody produced by the hybridoma deposited Alpha5 / beta1 7H12.5.1.4 (ATCC No. PTA-7420) in ATCC March 7, 2006. 5. The antibody according to claim 1, wherein the antibody is a humanized or chimeric form of an anti-alpha5beta1 antibody produced by a hybridoma selected from the group consisting of a hybridoma deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA-7421) and a hybridoma deposited as Alpha5 / beta1 7H12.5.1.4 (ATCC No. PTA-7420) at ATCC March 7, 2006.6. An antibody according to any one of claims 1 to 5, wherein the antibody binds to human alpha5beta1 with a Kd of between 500 nM and 1 pM. The antibody according to claim 1, where the antibody does not bind alphaVbeta3 or alphaVbeta5 or alphaVbeta 1.8. Antibody according to any one of paragraphs. 1 and 3-5, where the antibody contains the Fc sequence of human IgG. 9. Antibody according to any one of

Claims (60)

1. Антитело, которое способно связывать человеческий альфа5бета1 и конкурентно подавлять связывание антитела против альфа5бета1 с человеческим альфа5бета1, где антитела против альфа5бета1 продуцируются гибридомой, выбранной из группы, состоящей из гибридомы, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) и гибридомы, депонированной как Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.1. An antibody that is capable of binding human alpha5beta1 and competitively inhibiting the binding of an anti-alpha5beta1 antibody to human alpha5beta1, where anti-alpha5beta1 antibodies are produced by a hybridoma selected from the group consisting of a hybridoma deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA- PTA- 7421) and hybridomas deposited as Alpha5 / beta1 7H12.5.1.4 (ATCC No. PTA-7420) at ATCC on March 7, 2006. 2. Антитело по п.1, где антитело продуцируется гибридомой, выбранной из группы, состоящей из гибридомы, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) и гибридомы, депонированной как Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.2. The antibody according to claim 1, where the antibody is produced by a hybridoma selected from the group consisting of a hybridoma deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA-7421) and a hybridoma deposited as Alpha5 / beta1 7H12.5.1. 4 (ATCC No. PTA-7420) at ATCC on March 7, 2006. 3. Антитело по п.1, где антитело содержит последовательности вариабельного тяжелого (VH) и вариабельного легкого (VL) доменов антитела, продуцируемого гибридомой, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) в ATCC 7 марта 2006 года.3. The antibody according to claim 1, where the antibody contains the sequences of the variable heavy (VH) and variable light (VL) domains of an antibody produced by a hybridoma deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA-7421) in ATCC March 7 2006 year. 4. Антитело по п.1, где антитело содержит последовательности вариабельного тяжелого (VH) и вариабельного легкого (VL) доменов антитела, продуцируемого гибридомой, депонированной Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.4. The antibody according to claim 1, where the antibody contains the sequences of the variable heavy (VH) and variable light (VL) domains of the antibody produced by the hybridoma deposited Alpha5 / beta1 7H12.5.1.4 (ATCC No. PTA-7420) in ATCC March 7, 2006 of the year. 5. Антитело по п.1, где антитело является гуманизированной или химерной формой антитела против альфа5бета1, продуцируемого гибридомой, выбранной из группы, состоящей из гибридомы, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) и гибридомы, депонированной как Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.5. The antibody according to claim 1, where the antibody is a humanized or chimeric form of an antibody against alpha5beta1 produced by a hybridoma selected from the group consisting of hybridomas deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA-7421) and hybridomas, deposited as Alpha5 / beta1 7H12.5.1.4 (ATCC No. PTA-7420) at ATCC on March 7, 2006. 6. Антитело по любому из пп.1-5, где антитело связывается с человеческим альфа5бета1 с Kd между 500 нМ и 1 пМ.6. The antibody according to any one of claims 1 to 5, wherein the antibody binds to human alpha5beta1 with a Kd of between 500 nM and 1 pM. 7. Антитело по п.1, где антитело не связывает альфаVбета3 или альфаVбета5 или альфаVбета1.7. The antibody according to claim 1, where the antibody does not bind alphaVbeta3 or alphaVbeta5 or alphaVbeta1. 8. Антитело по любому из п.п. 1 и 3-5, где антитело содержит последовательность Fc человеческого IgG.8. The antibody according to any one of paragraphs. 1 and 3-5, where the antibody contains the Fc sequence of human IgG. 9. Антитело по любому из п.п. 1 и 3-5, где антитело содержит последовательность Fc человеческого IgG1 или человеческого IgG4.9. The antibody according to any one of paragraphs. 1 and 3-5, where the antibody contains the Fc sequence of human IgG1 or human IgG4. 10. Антитело по п.8, где антитело включает последовательность Fc, не имеющую эффекторной функции антителозависимой клеточной цитотоксичности (ADCC).10. The antibody of claim 8, where the antibody includes an Fc sequence that does not have the effector function of antibody-dependent cell cytotoxicity (ADCC). 11. Антитело по любому из п.п.1 и 3-5, выбранное из группы, состоящей из Fab, Fab', F(ab)'2, одноцепочечного Fv (scFv), фрагмента Fv; диатела и линейного антитела.11. The antibody according to any one of claims 1 and 3-5, selected from the group consisting of Fab, Fab ', F (ab)' 2 , single-chain Fv (scFv), a Fv fragment; diabodies and linear antibodies. 12. Антитело по любому из п.п. 1 и 3-5, где антитело является мультиспецифичным антителом.12. The antibody according to any one of paragraphs. 1 and 3-5, where the antibody is a multispecific antibody. 13. Антитело по любому из п.п. 1 и 3-5, конъюгированное с терапевтическим препаратом.13. The antibody according to any one of paragraphs. 1 and 3-5 conjugated to a therapeutic drug. 14. Антитело по п.13, где терапевтический препарат выбран из группы, состоящей из цитотоксического препарата, радиоизотопа и химиотерапевтического препарата.14. The antibody of claim 13, wherein the therapeutic drug is selected from the group consisting of a cytotoxic drug, a radioisotope, and a chemotherapeutic drug. 15. Антитело по любому из п.п. 1 и 3-5, конъюгированное с меткой.15. The antibody according to any one of paragraphs. 1 and 3-5 conjugated to the label. 16. Антитело по п.15, где метка выбрана из группы, состоящей из радиоизотопа, флуоресцентного красителя и фермента.16. The antibody of claim 15, wherein the label is selected from the group consisting of a radioisotope, a fluorescent dye, and an enzyme. 17. Изолированная молекула нуклеиновой кислоты, кодирующая вариабельный домен тяжелой цепи (VH) или вариабельный домен легкой цепи (VL) или одновременно домены VH и VL любого из антител по п.п.1-5.17. An isolated nucleic acid molecule encoding a variable domain of a heavy chain (VH) or a variable domain of a light chain (VL) or simultaneously the VH and VL domains of any of the antibodies according to claims 1-5. 18. Экспрессионный вектор, кодирующий молекулу нуклеиновой кислоты по п.17.18. Expression vector encoding a nucleic acid molecule according to 17. 19. Клетка, содержащая молекулу нуклеиновой кислоты по п.17.19. A cell containing a nucleic acid molecule according to 17. 20. Клетка по п.19, где клетка является гибридомой, депонированной как Alpha5/beta1 7H5.4.2.8 (ATCC № PTA-7421) или гибридомой, депонированной как Alpha5/beta1 7H12.5.1.4 (ATCC № PTA-7420) в ATCC 7 марта 2006 года.20. The cell of claim 19, wherein the cell is a hybridoma deposited as Alpha5 / beta1 7H5.4.2.8 (ATCC No. PTA-7421) or a hybridoma deposited as Alpha5 / beta1 7H12.5.1.4 (ATCC No. PTA-7420) at ATCC March 7, 2006. 21. Способ получения антитела, включающий культивирование клеток по п.19 или по п.20 и выделение антител из клеточной культуры.21. A method for producing an antibody, comprising culturing the cells of claim 19 or claim 20 and isolating antibodies from the cell culture. 22. Композиция, включающая антитело по любому из пп.1 и 3-5, и фармацевтически приемлемый носитель.22. A composition comprising an antibody according to any one of claims 1 and 3-5, and a pharmaceutically acceptable carrier. 23. Способ обнаружения белка альфа5бета1 в образце от пациента путем контактирования образца с антителом по любому из пп.1-5 и обнаружения антитела против альфа5бета1, связанного с белком альфа5бета1.23. A method for detecting alpha5beta1 protein in a sample from a patient by contacting the sample with an antibody according to any one of claims 1-5 and detecting an anti-alpha5beta1 antibody bound to alpha5beta1 protein. 24. Способ по п.23, где антитело используется в иммуногистохимических исследованиях (ИГХ) или в исследованиях с использованием ИФА.24. The method according to item 23, where the antibody is used in immunohistochemical studies (IHC) or in studies using ELISA. 25. Применение антитела по любому из пп.1 и 3-5, при производстве лекарственного средства для ингибирования ангиогенеза и/или проницаемости сосудов у субъекта.25. The use of an antibody according to any one of claims 1 and 3-5, in the manufacture of a medicament for inhibiting angiogenesis and / or vascular permeability in a subject. 26. Применение антитела по любому из пп.1 и 3-5, при производстве лекарственного средства для лечения заболевания у субъекта, где заболевание сопровождается патологическим ангиогенезом или патологической проницаемостью сосудов.26. The use of antibodies according to any one of claims 1 and 3-5, in the manufacture of a medicament for the treatment of a disease in a subject, where the disease is accompanied by pathological angiogenesis or pathological vascular permeability. 27. Способ ингибирования ангиогенеза и/или проницаемости сосудов у субъекта, страдающего от заболевания, включающий введение антагониста VEGF и антагониста альфа5бета1.27. A method of inhibiting angiogenesis and / or vascular permeability in a subject suffering from a disease, comprising administering a VEGF antagonist and an alpha5beta antagonist. 28. Способ лечения рака у субъекта, включающий введение антагониста VEGF и антагониста альфа5бета1.28. A method of treating cancer in a subject, comprising administering a VEGF antagonist and an alpha5beta antagonist. 29. Способ лечения заболеваний глаз у субъекта, включающий введение антагониста VEGF и антагониста альфа5бета1.29. A method for treating eye diseases in a subject, comprising administering a VEGF antagonist and an alpha5beta antagonist. 30. Способ лечения аутоиммунных заболеваний у субъекта, включающий введение антагониста VEGF и антагониста альфа5бета1.30. A method for treating autoimmune diseases in a subject, comprising administering a VEGF antagonist and an alpha5beta1 antagonist. 31. Способ по любому из п.п.27-30, где субъекту вводят антагонист VEGF, а затем антагонист альфа5бета1.31. The method according to any one of claims 27-30, wherein the subject is administered a VEGF antagonist and then an alpha5beta1 antagonist. 32. Способ по любому из п.п.27-30, где антагонист VEGF и антагонист альфа5бета1 вводят субъекту одновременно.32. The method according to any one of claims 27-30, wherein the VEGF antagonist and alpha5beta1 antagonist are administered to the subject simultaneously. 33. Способ по п.27, где субъект страдает от заболевания, сопровождающегося патологическим ангиогенезом или патологической проницаемостью сосудов.33. The method according to item 27, where the subject suffers from a disease accompanied by pathological angiogenesis or pathological vascular permeability. 34. Способ по п.27, где заболевание выбрано из группы, состоящей из опухоли, иммунного заболевания или заболевания глаза.34. The method according to item 27, where the disease is selected from the group consisting of a tumor, immune disease or eye disease. 35. Способ по любому из п.п.27-30, где субъект подвергается лечению антагонистом VEGF до тех пор, пока субъект не перестает реагировать на лечение антагонистом VEGF, после чего субъект подвергается лечению антагонистом альфа5бета1.35. The method according to any one of claims 27-30, wherein the subject is treated with a VEGF antagonist until the subject ceases to respond to treatment with a VEGF antagonist, after which the subject is treated with an alpha5beta antagonist. 36. Способ по п.28, где субъект подвергается лечению антагонистом VEGF, когда рак не является инвазивным и лечению антагонистом альфа5бета1, когда рак является инвазивным.36. The method of claim 28, wherein the subject is treated with a VEGF antagonist when the cancer is not invasive and treated with an alpha5beta1 antagonist when the cancer is invasive. 37. Способ по п.27, где субъект имеет повышенные уровни альфа5бета1 в пораженной ткани по сравнению с тканью субъекта, не страдающего от болезни.37. The method according to item 27, where the subject has elevated levels of alpha5beta1 in the affected tissue compared with the tissue of a subject not suffering from a disease. 38. Способ по любому из п.п.27-30, где субъекту дополнительно вводят терапевтический препарат, выбранный из группы, состоящей из анти-неопластичесого препарата, химиотерапевтического препарата, рост-ингибирующего препарата и цитотоксического препарата.38. The method according to any one of claims 27-30, wherein the subject is further administered a therapeutic drug selected from the group consisting of an anti-neoplastic drug, a chemotherapeutic drug, a growth inhibitory drug, and a cytotoxic drug. 39. Способ по любому из п.п.27-30, где связывание антител против VEGF с человеческим VEGF может быть полностью ингибировано антителом Avastin®.39. The method according to any one of claims 27-30, wherein the binding of anti-VEGF antibodies to human VEGF can be completely inhibited by an Avastin® antibody. 40. Способ по п.42, где антитело против VEGF является антителом Avastin®.40. The method according to § 42, where the anti-VEGF antibody is an Avastin® antibody. 41. Способ по любому из п.п.27-30, где антагонист альфа5бета1 конъюгирован с цитотоксическим препаратом.41. The method according to any one of claims 27-30, wherein the alpha5beta1 antagonist is conjugated to a cytotoxic drug. 42. Способ по п.41, где цитотоксический препарат является радиоактивным изотопом, химиотерапевтическим препаратом или токсином.42. The method according to paragraph 41, where the cytotoxic drug is a radioactive isotope, chemotherapeutic drug or toxin. 43. Способ по любому из п.п.27-30, где антагонист VEGF является антителом.43. The method according to any one of claims 27-30, wherein the VEGF antagonist is an antibody. 44. Способ по любому из п.п.27-30, где антагонист альфа5бета1 является антителом.44. The method according to any one of claims 27-30, wherein the alpha5beta1 antagonist is an antibody. 45. Способ по п.43, где антитело против VEGF является гуманизированным или человеческим антителом.45. The method according to item 43, where the anti-VEGF antibody is a humanized or human antibody. 46. Способ по п.44, где антитело против альфа5бета1 является гуманизированным или человеческим антителом.46. The method of claim 44, wherein the anti-alpha5beta1 antibody is a humanized or human antibody. 47. Композиция, содержащая антагонист VEGF, антагонист альфа5бета1 и фармацевтически приемлемый ингибитор.47. A composition comprising a VEGF antagonist, an alpha5beta1 antagonist and a pharmaceutically acceptable inhibitor. 48. Набор, содержащий инструкции по обнаружению альфа5бета1 у субъекта, который подвергался лечению антагонистом VEGF.48. A kit containing instructions for detecting alpha5beta1 in a subject who has been treated with a VEGF antagonist. 49. Применение композиции по п.47 при производстве лекарственного средства для ингибирования ангиогенеза и/или сосудистой проницаемости у субъекта, страдающего заболеванием.49. The use of the composition of claim 47 in the manufacture of a medicament for inhibiting angiogenesis and / or vascular permeability in a subject suffering from a disease. 50. Применение по п.49, где заболевание выбрано из группы, состоящей из рака, заболевания глаза и аутоиммунного заболевания у субъекта.50. The use of claim 49, wherein the disease is selected from the group consisting of cancer, eye disease, and an autoimmune disease in a subject. 51. Применение по п.49, где заболевание выбрано из группы, состоящей из солидной опухоли, метастатической опухоли, опухоли мягких тканей, заболевания, связанного с неоваскуляризацией глаза, воспалительного заболевания, сопровождаемого патологическим ангиогенезом, заболевания, возникающего после трансплантации субъекту и заболевания, сопровождающегося патологическим развитием сосудисто-волокнистой ткани.51. The use of claim 49, wherein the disease is selected from the group consisting of a solid tumor, metastatic tumor, soft tissue tumor, a disease associated with neovascularization of the eye, an inflammatory disease accompanied by pathological angiogenesis, a disease that occurs after transplantation to a subject and a disease accompanied pathological development of vascular fibrous tissue. 52. Применение по п.50, где рак выбран из группы, состоящей из рака груди, рака шейки матки, рака кишечника, рака легких, неходжскинской лимфомы (NHL), почечноклеточного рака, рака простаты, рака печени, рака головы и шеи, меланомы, рака яичника, мезотелиомы, рака мягких тканей и множественной миеломы.52. The application of claim 50, wherein the cancer is selected from the group consisting of breast cancer, cervical cancer, intestinal cancer, lung cancer, non-Hodgkin lymphoma (NHL), renal cell cancer, prostate cancer, liver cancer, head and neck cancer, melanoma , ovarian cancer, mesothelioma, soft tissue cancer and multiple myeloma. 53. Применение по п.49, где заболевание выбрано из группы, состоящей из ретинопатии, вызванной возрастом дегенерации желтого пятна, рубеоза; псориаза, псориатического артрита и воспалительных заболеваний почек, гемолитического уремического синдрома, диабетической нефропатии, артрита, воспалительной болезни кишечника, хронического воспаления, хронического отслоения сетчатки, хронического увеита, отторжения трансплантата роговицы, неоваскуляризации роговицы, неоваскуляризации трансплантата роговицы, болезни Крона, миопии, глазной неоваскулярной болезни, остеоартритов, болезни Педжета, пемфигоида, полиартрита, пост-лазерной радиальной кератотомии, неоваскуляризации сетчатки, синдрома Шегрена, язвенного колита, отторжения трансплантанта, воспаления легких, нефротического синдрома, отека, асцитов, ассоциированных со злокачественными опухолями, удара, ангиофибромы и неоваскулярной глаукомы.53. The use of claim 49, wherein the disease is selected from the group consisting of retinopathy caused by age-related macular degeneration, rubeosis; psoriasis, psoriatic arthritis and inflammatory kidney diseases, hemolytic uremic syndrome, diabetic nephropathy, arthritis, inflammatory bowel disease, chronic inflammation, chronic retinal detachment, chronic uveitis, corneal transplant rejection, corneal neovascularization, corneal neovascularization, corneal transplant neovascularization, neovascularization, diseases, osteoarthritis, Paget's disease, pemphigoid, polyarthritis, post-laser radial keratotomy, set neovascularization atki, Sjogren's syndrome, ulcerative colitis, graft rejection, lung inflammation, nephrotic syndrome, edema, ascites associated with malignancies, stroke, angiofibroma and neovascular glaucoma. 54. Применение антагониста альфа5бета при производстве лекарственного средства для лечения субъекта, страдающего от заболевания, где субъект реагировал на лечение заболевания антагонистом VEGF, но частично или полностью перестал реагировать на антагонист VEGF.54. The use of an alpha5bet antagonist in the manufacture of a medicament for the treatment of a subject suffering from a disease, where the subject responded to the treatment of the disease with a VEGF antagonist but partially or completely stopped responding to the VEGF antagonist. 55. Применение по п.54, где субъект имеет повышенные уровни альфа5бета1 в пораженной болезнью ткани по сравнению с субъектом, не страдающим заболеванием.55. The application of claim 54, wherein the subject has elevated levels of alpha5beta1 in the diseased tissue compared to the subject not suffering from the disease. 56. Применение по п.54, где субъекту дополнительно вводится терапевтический препарат, выбранный из группы, состоящей из антинеопластического препарата, химиотерапевтического препарата, рост-ингибирующего препарата и цитотоксического агента.56. The application of claim 54, wherein the subject is additionally administered a therapeutic drug selected from the group consisting of an antineoplastic drug, a chemotherapeutic drug, a growth inhibitory drug, and a cytotoxic agent. 57. Применение антагониста VEGF при производстве лекарственного средства для лечения субъекта, страдающего от заболевания, где субъект реагировал на лечение заболевания антагонистом альфа5бета1, но частично или полностью перестал реагировать на антагонист альфа5бета1.57. The use of a VEGF antagonist in the manufacture of a medicament for the treatment of a subject suffering from a disease, where the subject responded to treatment of the disease with an alpha5beta1 antagonist but partially or completely stopped responding to an alpha5beta1 antagonist. 58. Композиция, включающая агонист VEGF и агонист альфа5бета1.58. A composition comprising a VEGF agonist and an alpha5beta1 agonist. 59. Применение композиции по п.58 при производстве лекарственного средства.59. The use of the composition according to p. 58 in the manufacture of a medicinal product. 60. Применение по п.59, где лекарственное средство ускоряет заживление ран. 60. The use of claim 59, wherein the drug accelerates wound healing.
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